Ileostomy: kuyini, kuyini nokunakekelwa

-Delile

• Yenzelwe ini
• Ukunakekela ngemuva kwe-ileostomy

Ileostomy luhlobo lwenqubo lapho kwenziwa khona ukuxhumana phakathi kwamathumbu amancane nodonga lwesisu ukuze kuvunyelwe indle namagesi aqedwe lapho engakwazi ukudlula amathumbu amakhulu ngenxa yesifo, eqondiswa esikhwameni esifanelana umzimba.

Le nqubo ivame ukwenziwa ngemuva kokuhlinzwa ohlelweni lokugaya ukudla, ikakhulukazi esimweni somdlavuza emathunjini, i-ulcerative colitis kanye nesifo sikaCrohn, ngokwesibonelo, futhi kungaba okwesikhashana noma unomphela, kubaluleke, ezimweni zombili, ukuthi umuntu une ukunakekelwa okudingekayo ukuvimbela ukutheleleka kwesikhumba nokucasuka.

Yenzelwe ini

I-ileostomy isebenza ukuqondisa kabusha ukugeleza kwamathumbu amancane lapho amathumbu amakhulu enezinguquko, kuboniswa ikakhulu ngemuva kokuhlinzwa ukwelashwa umdlavuza emathunjini noma kwi-rectum, ulcerative colitis, isifo sikaCrohn, i-diverticulitis noma i-perforations esiswini. Ngakho-ke, indle namagesi kuqondiswa esikhwameni seqoqo esilingana nomzimba futhi esidinga ukuguqulwa njalo.

Emathunjini kukhona ukumuncwa kwamanzi kanye nokusebenza kwama-microorganism okuyingxenye ye-microbiota yamathumbu, kushiya indle ngokulingana okwedlulele nokuqinile. Ngakho-ke, esimweni se-ileostomy, njengoba ingekho indlela enqamula emathunjini amakhulu, indle ingamanzi kakhulu futhi ine-asidi, engadala ukucasuka okukhulu kwesikhumba.

Ileostomy wuhlobo lwe-ostomy, oluhambisana nenqubo yokuhlinza ehlose ukuxhuma isitho semvelo yangaphandle, kulokhu, amathumbu amancane odongeni lwesisu. Njengomphumela wale nqubo, kwakheka i-stoma, ehambelana nendawo yesikhumba lapho ukuxhuma kwenziwa khona, okungahlala unomphela, lapho kuqinisekiswa ukuthi akunakwenzeka ukugcina umsebenzi ojwayelekile wamathumbu, noma owesikhashana, lapho uhlala khona kuze kube yilapho amathumbu elulame.

Ukunakekela ngemuva kwe-ileostomy

Ukunakekelwa okuyinhloko ngemuva kwe-ileostomy kuhlobene nesikhwama kanye ne-stoma, ukugwema ukuvuvukala nokutheleleka esizeni. Ngakho-ke, kubalulekile ukuthi isikhwama se-ileostomy sishintshwe njalo, okungcono uma sifinyelela ku-1/3 womthamo waso omkhulu, sigweme ukuvuza, futhi okuqukethwe kufanele kuphonswe endlini yangasese futhi isikhwama silahlwe ukuvikela izifo. Kodwa-ke, ezinye izikhwama ziyaphinda zisebenze, ngakho-ke kubalulekile ukuthi umuntu alandele iziyalezo zokubulala amagciwane.

Ukugwema ukucasuka okukhulu esikhunjeni ngenxa ye-asidi yezitulo, kubalulekile ukuthi ukuvulwa kwesikhwama kube ngosayizi we-stoma, ukuvimbela izitulo ezikhishiwe ukuthi zihlangane nesikhumba. Ngaphezu kwalokho, noma ngabe akukho ukuxhumana phakathi kokuqukethwe okukhishwe esikhwameni nasesikhumbeni, ngemuva kokukhipha isikhwama kubalulekile ukuhlanza isifunda kanye ne-stoma kahle, ngokwemiyalelo yomhlengikazi, sula isikhumba kahle bese ufaka esinye kufakwe isikhwama.

Kungakhonjiswa futhi ngudokotela ukusebenzisa isifutho noma amafutha okuvikela, okuvimbela ukucasuka kwesikhumba okubangelwa okuqukethwe okukhishwe kwi-ileostomy. Kubalulekile futhi ukuthi umuntu aphuze amanzi amaningi emini, ngoba kunengozi enkulu yokwehla kwamanzi emzimbeni, ngoba indle iyamanzi kakhulu futhi akukho ukubuyiselwa kwamanzi ngumzimba ngenxa yokuthi indle dlula emathunjini amakhulu.

Bona imininingwane eminingi ngokunakekelwa ngemuva kwe-ileostomy.